“The upward spiral staircase of caring”: A hermeneutic phenomenology study of the caring competency of Filipino nurses grounded in competency-based education

The Journal of Competency-Based Education Pub Date : 2019-03-13 DOI:10.1002/cbe2.1182

Emmanuel Dayao Paragas Jr.

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引用次数: 5

Abstract

Background

Despite an enormous amount of research supporting the necessity for a caring perspective in nursing education, the literature reflects a dearth of information on efforts to uphold the internalization of the value of caring throughout the nursing curricula.

Aim

To explore the lived experiences of the nurses in relation to their caring competency grounded in competency-based education (CBE) pedagogy.

Methods

This study is a Heideggerian hermeneutic phenomenology. The professional nurses (n = 10) were selected using purposive sampling from a tertiary private hospital in Manila, Philippines, between February and March 2016. The data were collected through in-depth semi-structured interview and observation. The analysis and interpretation were guided by Van Manen's six-step method of phenomenology, and the criteria of qualitative scientific rigor were followed.

Results and Discussion

The results revealed five themes: (1) caring as outcome-oriented; (2) caring as transformative moment by moment; (3) caring as selfless commitment; (4) caring as valuing the worth of human life; and (5) caring as an achievement of a transcendent level of self-fulfillment. Further, the caring competency of nurses was symbolically represented by an upward spiral staircase which could be considered as a metaphor for growth.

Conclusion

The CBE was found to be effective in developing the caring competency of nurses, wherein it goes through a complex transformation process as they face different kinds of situations and experiences. The caring competent nurse can provide a holistic approach in providing care to various types of patients.

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“关怀的螺旋上升阶梯”:基于能力教育的菲律宾护士关怀能力的解释学现象学研究

尽管有大量的研究支持护理教育中护理视角的必要性，但文献反映了在整个护理课程中维护护理价值内部化的努力的信息缺乏。目的探讨基于能力本位教育(CBE)教学法的护士生活经历与护理能力的关系。方法采用海德格尔的解释学现象学方法进行研究。本研究于2016年2月至3月在菲律宾马尼拉的一家三级私立医院进行有目的抽样，选取10名专业护士。数据收集采用深度半结构化访谈和观察。分析和解释以范曼南的现象学六步法为指导，并遵循定性科学严谨性的标准。结果与讨论结果揭示了五个主题:(1)以结果为导向的关怀;(2)时时刻刻具有变革性的关怀;(3)作为无私承诺的关怀;(4)重视生命价值的关怀;(5)关怀是一种超越自我实现水平的成就。此外，一个向上的螺旋楼梯象征性地代表了护士的护理能力，这可以被认为是成长的隐喻。结论CBE对护士护理能力的培养是有效的，护士护理能力的培养经历了一个复杂的转变过程。有能力的护士可以提供一个全面的方法，为不同类型的病人提供护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

The Journal of Competency-Based Education

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